Last On: 12:42AM, 10 Dec 16
Street Level Paramedic
  • Milwaukee, WI
  • United States
  • Paramedic/EMT-I/EMT-D
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Street Level Paramedic's blog post was featured

The Medical Director Who Keeps Jumping EMS Calls

Several months ago I responded as a paramedic intercept to a rollover accident with entrapment requiring extrication.  The responding EMS agency was AEMT level, and I was dispatched automatically based on the rollover element of the call.I arrived on scene relatively quickly, and found the fire department and EMS working quickly to extricate the patient.  Standing at the head of the vehicle was an emergency room physician who I knew well, and who was the medical director of the EMS agency doing…See More
Aug 2, 2016
Street Level Paramedic posted a blog post

The Medical Director Who Keeps Jumping EMS Calls

Several months ago I responded as a paramedic intercept to a rollover accident with entrapment requiring extrication.  The responding EMS agency was AEMT level, and I was dispatched automatically based on the rollover element of the call.I arrived on scene relatively quickly, and found the fire department and EMS working quickly to extricate the patient.  Standing at the head of the vehicle was an emergency room physician who I knew well, and who was the medical director of the EMS agency doing…See More
Aug 1, 2016
Street Level Paramedic's 2 blog posts were featured
Nov 17, 2015
Street Level Paramedic posted a blog post

Bizarre Calls: Blindfolded Children on the Freeway

So here's a gem from my past:While working a routine 24 hour shift, our dispatcher called my partner and me around 1 am on the radio to give out a "10-15" assignment.  We worked private EMS in a city with a tiered response system.  On an EMS call, we might be dispatched directly to handle the call, or we might be assigned to park a block or two away while the fire department responded to a call.  This would make us a convenient distance away if the fire department decided to assign the call to…See More
Oct 28, 2015
Street Level Paramedic posted a blog post

An Argument Against Community Paramedicine

Let's see how many people I can make angry with this one...Community paramedicine isn't paramedicine, it's social work.  It might be economically advantageous to a department because it reduces the number of repeat, unnecessary calls the department receives.  It might bring some relief to EMS workers who immediately recognize the address they were just dispatched to and who know that the person calling simply needs some attention.  But it's not paramedicine, and it's not a good use of our…See More
Sep 27, 2015
Street Level Paramedic's 3 blog posts were featured
Aug 24, 2015
Street Level Paramedic posted a blog post

The Ghosts on the Corners

Do this job long enough, and you start to believe in ghosts.  I see them all the time.Sitting in the front of the ambulance, returning from a call, I see the tire marks veering off the highway and ending at a tree where that girl lost control and lost her life.I see the gas station where the car ended up after an elderly male had a stroke while driving.  The accident didn't kill him, but the stroke did.I watch as a house drifts past my window.  That's where that college girl with all the…See More
Aug 16, 2015
Street Level Paramedic posted a blog post

Leadership Isn't Hard Work, It's Just Work

My first supervisory experience came in the hardware department at The Home Depot.  Oh, stop rolling your eyes.  This is back in the days when the founders, Bernie Marcus and Arthur Blank, still ran the place.  Their leadership philosophy was evident in everything that happened in that company.  Their philosophy on leadership was simple:  Take care of your people.  If you do that, your people will take care of the customers, and everything else falls into line.That philosophy created a company…See More
Aug 14, 2015
Street Level Paramedic's blog post was featured

Professionalism and EMS

If you're like me, you probably have a number of news feeds related to EMS, emergency response, firefighting--all bookmarked in your browser and "liked" on Facebook.  You've read the articles about the EMTs and paramedics who have done great things, and others who have done horrible things.  You've read about the major incidents, rollovers, hazmat responses, and dash cam videos of crazy emergency driving and other "caught on cam" events.But have you really read the comments posted on those…See More
Jun 10, 2015
Street Level Paramedic updated their profile
May 25, 2015
Street Level Paramedic posted a blog post

Professionalism and EMS

If you're like me, you probably have a number of news feeds related to EMS, emergency response, firefighting--all bookmarked in your browser and "liked" on Facebook.  You've read the articles about the EMTs and paramedics who have done great things, and others who have done horrible things.  You've read about the major incidents, rollovers, hazmat responses, and dash cam videos of crazy emergency driving and other "caught on cam" events.But have you really read the comments posted on those…See More
May 25, 2015
Street Level Paramedic's blog post was featured

Have You Ever Regretted Calling Aero-medical?

Have you ever regretted calling aero-medical? I have. The death this week of yet another flight crew member leads me to continue to re-evaluate my use of aero medical. I find myself moving toward the end of the spectrum that calling the helicopter based entirely on mechanism of injury doesn't cut it any more (I'm not talking about getting them in the air--just in case--AS YOU RESPOND to a scene, I'm talking about having them CONTINUE in when you've arrived and done your preliminary…See More
May 19, 2015
Street Level Paramedic posted a blog post

Have You Ever Regretted Calling Aero-medical?

Have you ever regretted calling aero-medical? I have. The death this week of yet another flight crew member leads me to continue to re-evaluate my use of aero medical. I find myself moving toward the end of the spectrum that calling the helicopter based entirely on mechanism of injury doesn't cut it any more (I'm not talking about getting them in the air--just in case--AS YOU RESPOND to a scene, I'm talking about having them CONTINUE in when you've arrived and done your preliminary…See More
Apr 29, 2015
Street Level Paramedic posted a blog post

Note to Farkles

Note to farkles: I owned a scanner long before I became a paramedic. I listened to the police and fire departments do their work, and I enjoyed having a first-person sense of what was happening in the community. I learned a lot about law enforcement and emergency services, and I considered myself a supporter of all emergency services.I also knew where the line is. I never put flashing lights in my personal vehicle. I didn't wear uniform-like apparel in the hopes that people would confuse me…See More
Mar 26, 2015
Street Level Paramedic posted a blog post

Private EMS Masochists: Thank You Sir, May I Have Another?

Like so many others, my first EMS experience was in private EMS.  I began my career at a large--very large--private ambulance company that provides interfacility transports, private EMS, and 911 response for a large midwestern, city. The city in which I worked is poverty-stricken and segregated. I travelled from my nice suburban home to the city, spend 24 hours responding to calls, then leave for the safety and green lawns of the outskirts.Private EMS is a unique amalgam of low priority calls,…See More
Jan 14, 2015
Street Level Paramedic's blog post was featured

Comments on Basic vs. Advanced Life Support Outcomes After Out-of-Hospital Cardiac Arrest Article

I originally began this blog post with an explanation of my education and training with regard to research.  It began to sound like a rooster crowing, so I moved it to the end in favor of beginning with the most important part of my message.And here it is:If good science isn't used in conducting research, the results are meaningless.There is a corollary to this rule:Conclusions aren't more scientific or less scientific.  They either ARE science, or they aren't. The most recent popular news…See More
Jan 3, 2015

Profile Information

What State do you live in?
WI
Employer/Affiliation
Paramedic/EMT-I/EMT-D
Primary Agency/Department Type
Fire Dept/Rescue Squad
Years in EMS/Public Safety
6
My Training:
Critical Care Paramedic, Firefighter (Driver Operator Pumper, Driver Operator Aerial), Master's Degree in Public Administration.
About Me
Disclaimer: The Street-level Paramedic isn't in charge of you. He doesn't wear tights and a cape under his uniform. He isn't smarter than you, better looking than you, stronger than you, or have more beautiful hair than you. He doesn't speak officially for any agency or organization. When he speaks, he is usually venting. All stories told here are true. If we're being completely honest, his hair is--in fact--quite luxurious and might be more beautiful than yours. Consider yourselves warned.

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Street Level Paramedic's Blog

A Humorous Example of a Paramedic/EMT Communication Fail

So yesterday I was sitting at home, playing with my computer when the pager went off with both fire and EMS tones.  "Fire department is requested on the interstate, south-bound at Exit 100, for the rollover accident, multiple victims, report of ejection."

In our paid-on-call volunteer department, that's going to be an all-call where everyone available is expected to respond.  I called in, and threw on my coat.  I listened to the radio to determine who was responding so I would…

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Posted on December 9, 2016 at 8:01am

A Weak Spot in my Armor

Last week, I responded as a paramedic intercept to a motorcycle versus car.  The rider skidded along the pavement a distance of 84 feet (so the investigators say) before coming to a sudden violent stop by t-boning the car that had pulled out in front of him.

I exited my intercept vehicle, grabbed my ALS bag, and walked toward the crumpled motorcycle next to a crumpled patient.  He was surrounded by firefighters and EMTs.  I looked at the rider's face and could see he was…

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Posted on November 23, 2016 at 11:01pm

Shortage of Volunteers or Crisis of Integrity?

It's Saturday morning in a suburb of Milwaukee, population about 11,000, and I'm listening to our ambulance respond for the second time this morning to our neighbor jurisdiction for an EMS call.  They--apparently--have not one EMT available to respond to this call, not even as a first responder while they wait for our ambulance to arrive.  This also means that anyone in our own town needing an ambulance will be waiting longer because our ambulance, the ambulance they pay for with their tax…

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Posted on October 29, 2016 at 11:00am

The Medical Director Who Keeps Jumping EMS Calls

Several months ago I responded as a paramedic intercept to a rollover accident with entrapment requiring extrication.  The responding EMS agency was AEMT level, and I was dispatched automatically based on the rollover element of the call.

I arrived on scene relatively quickly, and found the fire department and EMS working quickly to extricate the patient.  Standing at the head of the vehicle was an emergency room physician who I knew well, and who was the medical director of…

Continue

Posted on August 1, 2016 at 12:57pm

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